竞争机制与公立医院改革 (Competition and Public Hospital Reform in China)
10 Pages Posted: 20 Mar 2014
Date Written: March 19, 2014
Abstract
Chinese Abstract: 市场配置医疗卫生资源不等同于私有化,其核心是竞争。医院竞争不仅存在于不同产权医院间,也存在于公立医院内部。由于医疗市场存在特殊性,竞争可能产生正面或负面影响。为引导竞争发挥预期作用,政策制定者需要科学设计卫生政策环境,对公立医院竞争进行驾驭。加强管制、权利下放和信息发布三者并重将是现阶段利用竞争作为政策工具来促进中国公立医院改革的关键。
English Abstract: Since the implementation of a new round of health system reform , healthcare reform had achieved significant initial results. With the deepening of the reform of public hospitals, more problems gradually exposed. How to deepen the reform of public hospitals to promote the efficiency of public hospitals is the emphasis, difficulty and the core of healthcare reform at present. Competition mechanism could effectively arouse the enthusiasm of the whole society to produce and provide more and better products and services. Despite the special nature of the healthcare market, there are also commonalities for it as one kind of market. Competition mechanism might play an important role to promote public hospital’s efficiency. This article illustrates the relevant concept of the hospital competition. On the basis of clarifying the connotation of hospital competition, prerequisites, which competition mechanism playing a role in configuring resources for hospital should be met, would be discussed. The prerequisites included that enough hospitals, sufficient information, hospitals actively striving for the patients, and patients actively choosing hospitals. The positive and negative influence of hospital competition would be analyzed. Finally, on the basis of summing up the experience of international reform, policy suggestions with reference would be put forward to guide the reform of public hospitals in our China.
Note: Downloadable document is in Chinese.
Keywords: Competition, Public Hospital, Healthcare Reform, Government, Market
JEL Classification: I11, I18, L10, L30
Suggested Citation: Suggested Citation